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Declaratieformulier
Naam declarant*
Adres*
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Telefoonnummer*
+93 (Afghanistan)
+355 (Albania)
+213 (Algeria)
+376 (Andorra)
+244 (Angola)
+1268 (Antigua and Barbuda)
+54 (Argentina)
+374 (Armenia)
+297 (Aruba)
+61 (Australia)
+43 (Austria)
+994 (Azerbaijan)
+1242 (Bahamas)
+973 (Bahrain)
+880 (Bangladesh)
+1246 (Barbados)
+375 (Belarus)
+32 (Belgium)
+501 (Belize)
+229 (Benin)
+975 (Bhutan)
+591 (Bolivia)
+599 (Bonaire, Saint Eustatius and Saba)
+387 (Bosnia and Herzegovina)
+267 (Botswana)
+55 (Brazil)
+673 (Brunei)
+359 (Bulgaria)
+226 (Burkina Faso)
+257 (Burundi)
+855 (Cambodia)
+237 (Cameroon)
+1 (Canada)
+238 (Cape Verde)
+236 (Central African Republic)
+235 (Chad)
+56 (Chile)
+86 (China)
+57 (Colombia)
+269 (Comoros)
+242 (Congo)
+243 (Congo, Democratic Republic of the)
+506 (Costa Rica)
+225 (Cote d'Ivoire)
+385 (Croatia)
+53 (Cuba)
+599 (Curaçao)
+357 (Cyprus)
+420 (Czech Republic)
+45 (Denmark)
+253 (Djibouti)
+1767 (Dominica)
+1809 (Dominican Republic)
+593 (Ecuador)
+20 (Egypt)
+503 (El Salvador)
+240 (Equatorial Guinea)
+291 (Eritrea)
+372 (Estonia)
+251 (Ethiopia)
+679 (Fiji)
+358 (Finland)
+33 (France)
+689 (French Polynesia)
+241 (Gabon)
+220 (Gambia)
+995 (Georgia)
+49 (Germany)
+233 (Ghana)
+30 (Greece)
+1473 (Grenada)
+502 (Guatemala)
+224 (Guinea)
+245 (Guinea-Bissau)
+592 (Guyana)
+509 (Haiti)
+504 (Honduras)
+852 (Hong Kong)
+36 (Hungary)
+354 (Iceland)
+91 (India)
+62 (Indonesia)
+98 (Iran)
+964 (Iraq)
+353 (Ireland)
+972 (Israel)
+39 (Italy)
+1876 (Jamaica)
+81 (Japan)
+962 (Jordan)
+7 (Kazakhstan)
+254 (Kenya)
+686 (Kiribati)
+850 (Korea, North)
+82 (Korea, South)
+965 (Kuwait)
+996 (Kyrgyzstan)
+856 (Laos)
+371 (Latvia)
+961 (Lebanon)
+266 (Lesotho)
+231 (Liberia)
+218 (Libya)
+423 (Liechtenstein)
+370 (Lithuania)
+352 (Luxembourg)
+389 (Macedonia)
+261 (Madagascar)
+265 (Malawi)
+60 (Malaysia)
+960 (Maldives)
+223 (Mali)
+356 (Malta)
+692 (Marshall Islands)
+222 (Mauritania)
+230 (Mauritius)
+52 (Mexico)
+691 (Micronesia)
+373 (Moldova)
+377 (Monaco)
+976 (Mongolia)
+382 (Montenegro)
+212 (Morocco)
+258 (Mozambique)
+95 (Myanmar)
+264 (Namibia)
+674 (Nauru)
+977 (Nepal)
+31 (Netherlands)
+64 (New Zealand)
+505 (Nicaragua)
+227 (Niger)
+234 (Nigeria)
+47 (Norway)
+968 (Oman)
+92 (Pakistan)
+680 (Palau)
+970 (Palestine)
+507 (Panama)
+675 (Papua New Guinea)
+595 (Paraguay)
+51 (Peru)
+63 (Philippines)
+48 (Poland)
+351 (Portugal)
+974 (Qatar)
+40 (Romania)
+7 (Russia)
+250 (Rwanda)
+1869 (Saint Kitts and Nevis)
+1758 (Saint Lucia)
+685 (Samoa)
+378 (San Marino)
+239 (Sao Tome and Principe)
+966 (Saudi Arabia)
+221 (Senegal)
+381 (Serbia)
+248 (Seychelles)
+232 (Sierra Leone)
+65 (Singapore)
+1721 (Sint Maarten)
+421 (Slovakia)
+386 (Slovenia)
+677 (Solomon Islands)
+252 (Somalia)
+27 (South Africa)
+211 (South Sudan)
+34 (Spain)
+94 (Sri Lanka)
+249 (Sudan)
+597 (Suriname)
+268 (Swaziland)
+46 (Sweden)
+41 (Switzerland)
+963 (Syria)
+886 (Taiwan)
+992 (Tajikistan)
+255 (Tanzania)
+66 (Thailand)
+228 (Togo)
+676 (Tonga)
+1868 (Trinidad and Tobago)
+216 (Tunisia)
+90 (Turkey)
+993 (Turkmenistan)
+688 (Tuvalu)
+256 (Uganda)
+380 (Ukraine)
+971 (United Arab Emirates)
+44 (United Kingdom)
+1 (United States of America)
+598 (Uruguay)
+998 (Uzbekistan)
+678 (Vanuatu)
+39 (Vatican City)
+58 (Venezuela)
+84 (Vietnam)
+967 (Yemen)
+260 (Zambia)
+263 (Zimbabwe)
Bedrag*
Omschrijving
*
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Commissiekleding(vesten)
Anders
Omschrijving(anders)
Commissie*
Datum indiening*
IBAN*
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